Abstract
Objective
To assess the effects of postural rehabilitation (PR) on trunk asymmetry and balance,
with and without Kinesio taping (KT) of the back muscles as additional treatment,
in patients with Parkinson's disease (PD) who have postural disorders.
Design
Single-blind, randomized controlled trial with 1-month follow-up.
Setting
Ambulatory care in referral center.
Participants
Patients (N=20) with PD showing postural abnormalities of the trunk, in the sagittal
and/or coronal plane.
Interventions
Four weeks of patient-tailored proprioceptive and tactile stimulation, combined with
stretching and postural reeducation, was provided to 13 subjects (PR group), while
7 received no treatment (control group). Six of the 13 subjects receiving PR also
had KT strips applied to their trunk muscles, according to the features of their postural
abnormalities.
Main Outcome Measures
Berg Balance Scale, Timed Up and Go, and degrees of trunk bending in the sagittal
and coronal planes were assessed at the enrollment (t0), 1 month later (t1), and 2
months later (t2).
Results
At t1, all treated patients showed a significant improvement in trunk posture in both
the sagittal (P=.002) and coronal planes (P=.01), compared with baseline. Moreover, they showed an improvement in measures of
gait and balance (P<.01). Benefits persisted at t2 for all measures, except lateral trunk bend. No differences
were found when comparing the PR and KT groups.
Conclusions
The combination of active posture correction and trunk movements, muscle stretching,
and proprioceptive stimulation may usefully impact PD axial symptoms. Repeated training
is advocated to avoid waning of the effect.
Keywords
List of abbreviations:
BBS (Berg Balance Scale), CG (control group), GPR (global postural rehabilitation), KT (Kinesio taping), PD (Parkinson's disease), PR (postural rehabilitation), TUG (Timed Up and Go)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 07, 2014
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
